- SIMEDHealth (Gainesville, FL)
- …of AR professionals to maximize collections and ensure compliance. + Oversee medical billing, claims submission, payment posting, and follow-up on outstanding ... SIMEDHealth, a progressive, physician-owned multi-specialty medical group, is seeking an experienced Accounts Receivable...operations and lead a dedicated team in a dynamic medical practice environment. Reporting directly to the Chief Financial… more
- Elevance Health (FL)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs… more
- Zelis (St. Petersburg, FL)
- …an advisory role with management of direct reports required. + Advanced competency in medical claim review and payment integrity preferred. + Ability to analyze ... clinical reviews of facility claims, including UB's, Itemized Bills and medical records, to verify billing accuracy and clinical appropriateness. The Supervisor… more
- US Army Medical Command (Pensacola, FL)
- …and injuries, conduct surgeries. Perform administrative duties such as maintaining legal medical health records. Collect body tissue, feces, blood, urine, and other ... Health Assistants with regards to veterinary nursing skills, veterinary medical standards, and animal care. Requirements Conditions of Employment Qualifications… more
- Globus Medical, Inc. (FL)
- NuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare ... administrative support in the billing and collections function of the medical revenue cycle process. Prepare new charges, complete insurance verification, maintain… more
- University of Miami (Medley, FL)
- …+ Provide patients with all required information regarding appointments and payment policies (eg medical records, parking, cash policies, anticipated ... physicians, resources, specialties, and sites while utilizing expertise in medical triage and understanding of government and commercial insurance requirements… more
- CHS (Clearwater, FL)
- …employers. One core service, claims administration, is where submissions for payment /reimbursement/sharing from medical providers and covered individuals are ... control, including review processes for potential pre-existing conditions, determining medical necessity, enforcing reasonable charge provisions and pursuing recovery… more
- Molina Healthcare (Tampa, FL)
- …the database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated ... Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Utilizing clinical knowledge and experience, responsible for review… more
- AdventHealth (Maitland, FL)
- …site) **Job Location** : Maitland, FL **The role you will contribute:** A Medical Economics Manager is responsible for overseeing the analysis and evaluation of ... care contracts, proposals, analyze fee schedules, and determine contract compliance. The Medical Economics Manager must have attention to detail and competencies in… more
- Baylor Scott & White Health (Tallahassee, FL)
- …payments and penalties. Has knowledge of CPT codes, contracting, per diems, and other payment methods in the medical industry. + Maintains collection files on ... Performs collection activities for assigned accounts. Contacts insurance companies to resolve payment issues and penalties owed to BSWH under Managed Care contracts.… more